FDA Adverse Event Injury Summary report: N

EZ WAY SMART LIFT HOYER LIFT

MDR report key: 20109426 · Received August 29, 2024

Report

Report Number
MW5159077
Event Type
Injury
Date Received
August 29, 2024
Date of Event
August 22, 2024
Report Date
August 23, 2024
Manufacturer
EZ WAY INC
Product Code
FSA
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
IA, US
Reporter Occupation
501
Health Professional
Yes

Narratives

Description of Event or Problem · 0

A MALE RESIDENT WAS BEING TRANSPORTED FROM HIS RECLINER TO HIS BED USING A THE EZ-WAY SMART 600 LB. LIFT. TWO STAFF MEMBERS SECURED THE MALE RESIDENT IN A HOYER SLING TO THE EZ-WAY SMART LIFT. BOTH EMPLOYEES WERE PROPERLY TRAINED AND FOLLOWED STEPS TO ENSURE THE HOYER SLING WAS ATTACHED PROPERLY TO THE EZ-WAY SMART LIFT. THE STRAPS WERE CHECKED MULTIPLE TIMES BY THE TWO STAFF MEMBERS TO ENSURE PROPER PLACEMENT. THE MALE RESIDENT WAS LIFTED OUT OF HIS CHAIR IN THE HOYER SLING ATTACHED TO THE EZ-WAY SMART LIFT. STAFF A RAN THE LIFT WHILE STAFF B GUIDED THE RESIDENTS LEGS AND BODY. WHILE MOVING THE RESIDENT FROM THE CHAIR TO THE BED THE LEFT SHOULDER STRAP CAME OFF THE LIFT. THE MALE RESIDENT FELL APPROXIMATELY 3 FEET TO THE FLOOR. THE RESIDENT WAS TAKE BY AMBULANCE TO LOCAL HOSPITAL AND REMAINS IN THE HOSPITAL DUE TO HIS INJURIES' SUSTAINED FROM THE FALL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1832915 EZ WAY SMART LIFT HOYER LIFT LIFT, PATIENT, NON-AC-POWERED FSA EZ WAY INC L600PS-03

Patients

Seq Age Sex Outcome Treatment
1 82 YR Male Hospitalization